Individual
SAMUEL W WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7096
(319) 356-3675
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-7096
(319) 356-3675
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO-05559
IA
2080N0001X
Neonatal-Perinatal Medicine Physician
02004423
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
DO-05559
IA
Other
Enumeration date
06/01/2011
Last updated
07/16/2020
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